| NPI | 1912672056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIQUALA RUSHTON President Director 614-747-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |